Organization Active NPI

Autism Path 2 Care

  • Developmental - Behavioral Pediatrics Physician
  • Arlington, VA
National Provider Identifier
1295515773
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
AUTISM PATH 2 CARE
Practice address
2300 Wilson Blvd
Suite 700 #1055
Arlington, VA 22201
Phone
(866) 460-5686
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randall Lee, MDNPI 1659734853
Title
Member
Phone
(917) 608-6388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X Primary

Addresses

Primary practice location

2300 Wilson Blvd
Suite 700 #1055
Arlington, VA 22201

Mailing address

2300 Wilson Blvd
Suite 700 #1055
Arlington, VA 22201
Phone (866) 460-5686

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1295515773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WILSON BLVD",
            "address_2": "SUITE 700 #1055",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22201",
            "telephone_number": "866-460-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WILSON BLVD",
            "address_2": "SUITE 700 #1055",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22201",
            "telephone_number": "866-460-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM PATH 2 CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-608-6388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.